Tag: Anna Koralewska

Early and late effect of unilateral mastectomy on the weight bearing distribution

Anna Koralewska, Małgorzata Domagalska-Szopa, Robert Łukowski

Anna Koralewska, Małgorzata Domagalska-Szopa, Robert Łukowski – Early and late effect of unilateral mastectomy on the weight bearing distribution. Fizjoterapia Polska 2022; 22(1); 6-18

Abstract
Introduction. A mastectomy is a common treatment for breast cancer. In Poland, the vast majority of women after mastectomy use an external breast prosthesis.
Objective. The aim of the study was to identify differences in the weight-bearing distribution between women in the early and late period after mastectomy.
Material and methodology. 42 women after unilateral complete or radical amputation of the breast were qualified for the study. The study consisted of 3 parts: anthropometric measurements, measurements of the circumference of the upper limbs, assessment of the weight-bearing distribution using the stabilometric platform.
Results. Within the group of women in the early post-mastectomy period, the weight-bearing distribution was similar between the amputated and non-amputated sides in test with and without external breast prothesis. This has also been observed within the group of women in the late post-mastectomy period. There was no statistical difference between both studied groups. The tests were carried out with and without external breast prosthesis and the results indicate no significant effect of prosthesis on the symmetry of the weight-bearing distribution nor the percentage of load on the amputated and non-amputated sides of the body.
Conclusions. Lymphodema occurs in women in both early and late period after mastectomy however that occurrence does not affect  the nature of the asymmetry of the weight- bearing distribution  between the amputated and non-amputated body sides; The breast prosthesis does not have a significant impact on the weight-bearing distribution between the amputated and non-amputated sides. The analyzed issue requires further comprehensive research.
Key words:
total mastectomy, external breast prosthesis, postural control disorders, posturography, stabilographic platform
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Assessment of aerobic capacity levels and selected motor skills in children with excessive body weight

Agnieszka Ostrowska, Agata Grzyb, Małgorzata Domagalska-Szopa, Małgorzata Lis, Anna Koralewska

A. Ostrowska, A. Grzyb, M. Domagalska-Szopa, M. Lis, A. Koralewska – Assessment of aerobic capacity levels and selected motor skills in children with excessive body weight. Fizjoterapia Polska 2020; 20(5);  72-83

Abstract

Introduction. Overweight and obesity among children and adolescents is a serious problem of developmental age. It affects more and more children. Increasingly, children are consuming large amounts of processed and high-calorie food. Children move less and less because they spend their free time in front of the phone, TV or computer screen. A small amount of exercise promotes the development of excess body weight in children. Low physical activity also causes children not to improve their motor skills. In addition, many researchers point out the negative impact of excess child weight on their physical fitness.
Aim of the study. The aim of the study was an attempt to determine the level of selected motor skills in overweight and obese children and to determine the relationship between excess body weight in children and their motor skills.
Material and methods. The research group consisted of 25 children, including 12 girls and 13 boys aged 12 to 18 years. The subjects were diagnosed with overweight and simple obesity. The Romberg test, Tandem tests, medicine ball throw, toe-floor test, 40 or 60m run were used to assess the motor skills of children. To assess the children’s performance, the spiroergometric test, 6MWT = 6-minute walk test and the Borg scale after exercise were used. The “TANITA” weight was used to assess the body mass composition. The same test was performed in each child and the same tests were used to determine the level of selected motor skills, performance and body weight composition.
Results. The results obtained from the analysis of the results indicate the same development of motor skills in children with excessive and normal body weight. Moreover, the children showed the same exercise tolerance.

Key words:
excessive body weight, children, efficiency, motor skills
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Assessment of the severity of menopause symptoms and the occurrence of pain in the lumbar spine among women living in the Silesia Voivodeship

Agata Grzyb, Anna Koralewska, Martyna Gruszka, Zuzanna Sobczak, Magdalena Drewnowska

A. Grzyb, A. Koralewska, M. Gruszka, Z. Sobczak, M. Drewnowska– Assessment of the severity of menopause symptoms and the occurrence of pain in the lumbar spine among women living in the Silesia Voivodeship. Fizjoterapia Polska 2020; 20(4); 22-33

Abstract
Introduction. During the menopause, many changes are observed in a woman’s life. These processes have different backgrounds, but mainly they are caused by hormonal changes that have a huge impact on the functioning of the whole organism. These changes may cause, among others: insomnia, mood disorders, weight gain, and indirectly may affect the appearance of back pain.
Aim of the study. The main aim of the study was to recognize the incidence and severity of menopause symptoms, as well as to assess the degree of disability caused by pain in the thoracolumbar spine in the Silesian female population.
Material and method. The material consisted of 150 women between the ages of 40 and 60 from the Śląskie Voivodeship. The study used: the author’s questionnaire, Menopausal Symptom Assessment Scale (MRS) and the Oswestry Questionnaire. The collected material was subjected to statistical analysis.
Results. There was a wide variation in the incidence of menopause symptoms among respondents. Correlation analysis showed that there are statistically significant differences between all menopausal symptoms and lower back pain. Over half of the respondents (56.7%) struggled with excessive body weight. 79% of women have a moderate degree of disability.
Conclusions. The most common symptoms of menopause are psychological symptoms. The respondents have pain in the lumbar spine. The vast majority of women have a moderate degree of disability resulting from pain in the lower spine, the higher the body mass index result, the greater the sensation of somatic and vegetative symptoms and urogenital symptoms. The obtained data encourage a deeper and broader analysis of the phenomenon.

Key words:
pain, women, menopause

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